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Richard Wall, CPO
Prosthetist in Bellevue, Washington
NPI 1508058991

Richard Wall is a Prosthetist based in Bellevue, WA. Richard Wall practices in Bellevue, WA and has the professional credentials of CPO. The NPI Number for Richard Wall is 1508058991 and holds a License No. OI00000394 (Washington).

The current practice location address for Richard Wall is 1900 116Th Ave Ne, Bellevue, WA and can be reached out via phone at 425-451-8831 and via fax at 425-451-8831. You can also correspond with Richard Wall through the mailing address at 1900 116TH AVE NE, BELLEVUE, WA - 98004-3052 (mailing address contact number: 425-451-8831).

Location: 1900 116Th Ave Ne, Bellevue, WA, 98004-3052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508058991
Provider Name
Richard Wall
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
1900 116Th Ave Ne, Bellevue, WA, 98004-3052
Phone Number
425-451-8831
Fax Number
425-451-8831
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9036963 05 WA
institution
Provider Business Practice Location Address Details
Address
1900 116Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-3052
Phone Number
425-451-8831
Fax Number
425-451-8831
person
Provider Business Mailing Address Details
Address
1900 116Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-3052
Phone Number
425-451-8831
Fax Number
425-451-8831
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
PS00000395 (Washington)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
OI00000394 (Washington)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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